Provider Demographics
NPI:1124404751
Name:FLORES, TOMAS ENRIQUE (PT)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:ENRIQUE
Last Name:FLORES
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:400 CONCORD PLAZA DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6905
Mailing Address - Country:US
Mailing Address - Phone:210-804-5564
Mailing Address - Fax:210-804-5599
Practice Address - Street 1:5505 S. EXPRESSWAY 77 SUITE 200
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-412-2200
Practice Address - Fax:956-412-3009
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX31145412251X0800X
TX12626652251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic